Organization
JAMES W WILLIS XI DDS PLC
Active
Other names
Northeast Roanoke Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIS DDS (CEO)
(304) 685-5980
Entity
Organization
Contact information
Practice address
2913 ORANGE AVE NE, ROANOKE, VA 24012-6338
(540) 342-8781
Mailing address
6948 WELBOURNE LN, CROZET, VA 22932-3346
(304) 685-5980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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